Cameron as Prime Minister: the intra-executive politics of Britain’s coalition

Forming a coalition involves compromise, so a prime minister heading up a coalition government, even one as predominant a party leader as David Cameron, should not be as powerful as a prime minister leading a single-party government. Cameron has still to work with and through ministers from his own party, but has also to work with and through Liberal Democrat ministers; not least the Liberal Democrat leader Nick Clegg. The relationship between the prime minister and his deputy is unchartered territory for recent academic study of the British prime minister. This article explores how Cameron and Clegg operate within both Whitehall and Westminster: the cabinet arrangements, the prime minister’s patronage, advisory resources and more informal mechanisms. Cameron and Clegg both possess institutional and personal resources, but Cameron remains the predominant resource-rich actor, so at this stage in the coalition government we can observe that no formal, substantial change in the role of prime minister has been enacted. Cameron’s predominance, by leading a coalition, is partially constrained by Clegg, but he too constrains Clegg. This prime minister, then, can be predominant even when he is constrained in significant ways by the imperatives of coalition government. Cameron is presently no more constrained than a prime minister who is faced with a pre-eminent intra-party rival with a significant power base

The limits to prime ministerial autonomy: Cameron and the constraints of coalition

In heading up a coalition David Cameron has had to confront two unusual constraints that prevent him from being a dominant prime minister. The first constraint, something unfamiliar to previous prime ministers, is his having to work with and through a coalition partner firmly placed to the Conservatives’ left. The second constraint, equally problematic but more familiar, is that Cameron has faced a restive Conservative parliamentary party in which a sizable minority of Tory MPs remained unreconciled to his political agenda. These two interrelated constraints mean Cameron has lacked the freedom of manoeuvre enjoyed by most past prime ministers. Two aspects of Cameron’s premiership help cast light on his predicament: first, his relations with Nick Clegg and the Liberal Democrats and second, the nature of his dependency upon Conservative MPs. We look at these in turn and conclude by assessing Cameron’s effectiveness as prime minister

Discovery and Assessment of New Target Sites for Anti-HIV Therapies

Human immunodeficiency virus (HIV) infects cells by endocytosis and takes over parts of the cell’s reaction pathways in order to reproduce itself and spread the infection. One such pathway taken over by HIV becomes the inflammatory pathway which uses Nuclear Factor κB (NF-κB) as the principal transcription factor. Therefore, knocking out the NF-κB pathway would prevent HIV from reproducing itself. In this report, our goal is to produce a simple model for this pathway with which we can identify potential targets for anti-HIV therapies and test out various hypotheses. We present a very simple model with four coupled first-order ODEs and see what happens if we treat IκK concentration as a parameter that can be controlled (by some unspecified means). In Section 3, we augment this model to account for activation and deactivation of IκK, which is controlled (again, by some unspecified means) by TNF

Impact and Cost-Effectiveness of Point-Of-Care CD4 Testing on the HIV Epidemic in South Africa.

Rapid diagnostic tools have been shown to improve linkage of patients to care. In the context of infectious diseases, assessing the impact and cost-effectiveness of such tools at the population level, accounting for both direct and indirect effects, is key to informing adoption of these tools. Point-of-care (POC) CD4 testing has been shown to be highly effective in increasing the proportion of HIV positive patients who initiate ART. We assess the impact and cost-effectiveness of introducing POC CD4 testing at the population level in South Africa in a range of care contexts, using a dynamic compartmental model of HIV transmission, calibrated to the South African HIV epidemic. We performed a meta-analysis to quantify the differences between POC and laboratory CD4 testing on the proportion linking to care following CD4 testing. Cumulative infections averted and incremental cost-effectiveness ratios (ICERs) were estimated over one and three years. We estimated that POC CD4 testing introduced in the current South African care context can prevent 1.7% (95% CI: 0.4% - 4.3%) of new HIV infections over 1 year. In that context, POC CD4 testing was cost-effective 99.8% of the time after 1 year with a median estimated ICER of US$4,468/DALY averted. In healthcare contexts with expanded HIV testing and improved retention in care, POC CD4 testing only became cost-effective after 3 years. The results were similar when, in addition, ART was offered irrespective of CD4 count, and CD4 testing was used for clinical assessment. Our findings suggest that even if ART is expanded to all HIV positive individuals and HIV testing efforts are increased in the near future, POC CD4 testing is a cost-effective tool, even within a short time horizon. Our study also illustrates the importance of evaluating the potential impact of such diagnostic technologies at the population level, so that indirect benefits and costs can be incorporated into estimations of cost-effectiveness

Hub loads analysis of the SA349/2 helicopter

The forces and moments at the rotor hub of an Aerospatiale SA349/2 helicopter were investigated. The study included three main topics. First, measured hub forces and moments for a range of level flight conditions (mu = 0.14 to 0.37) were compared with predictions from a comprehensive rotorcraft analysis to examine the influence of the wake model on the correlations. Second, the effect of changing the blade mass distribution and blade chordwise center of gravity location on the 3/rev nonrotating frame hub loads was studied for a high-speed flight condition (mu = 0.37). Third, the use of higher harmonic control to reduce nonrotating frame 3/rev hub shear forces was investigated. The last two topics were theoretical studies only

Wing force and surface pressure data from a hover test of a 0.658-scale V-22 rotor and wing

A hover test of a 0.658-scale V-22 rotor and wing was conducted in the 40 x 80 foot wind tunnel at Ames Research Center. The principal objective of the test was to measure the surface pressures and total download on a large scale V-22 wing in hover. The test configuration consisted of a single rotor and semispan wing on independent balance systems. A large image plane was used to represent the aircraft plane of symmetry. Wing flap angles ranging from 45 to 90 degrees were examined. Data were acquired for both directions of the rotor rotation relative to the wing. Steady and unsteady wing surface pressures, total wing forces, and rotor performance data are presented for all of the configurations that were tested

Surgical Infection Society Guidelines for Vaccination after Traumatic Injury

Background: Recommendations for vaccination of injured patients against infection are evolving. Newly-recognized infections, safety considerations, changing epidemiology, and redefinition of patient groups at risk are factors that may influence vaccine development priorities and recommendations for immunization. However, recommendations must often be formulated based on incomplete data, forcing reliance on expert opinion to address some crucial questions. These guidelines provide evidence-based recommendations for the prevention or treatment of infectious morbidity and mortality after traumatic injury, such as soft tissue wounds, human or animal bites, or after splenectomy. Methods: A panel of experts conducted a thorough review of published literature, as well as information posted on the internet at the websites of the U.S. Centers for Disease Control and Prevention, among others. MEDLINE was searched for the period 1966–2004 using relevant terms including anthrax, rabies, tetanus, tetanus toxoid, and splenectomy, in combination with vaccine and immunization. The Cochrane database was searched also. Reference lists were cross-referenced for additional relevant citations. All published reports were analyzed for quality and graded, with the strength of the recommendation proportionate to the quality of the supporting evidence. Results: Recommendations are provided for pre- and post-exposure prophylaxis of rabies and anthrax. For tetanus prophylaxis, recommendations are provided for prophylaxis of acute wounds stratified y age and prior immunization status, and for immunization of persons at high risk. After splenectomy, it is recommended that all persons ages 2–64 years receive 23- valent pneumococcal vaccine and meningococcal vaccine, with Haemophilus influenzae type B vaccine administered to high-risk patients as well (all are Grade D recommendations). Vaccination should be given two weeks before elective splenectomy (Grade C), or two weeks after emergency splenectomy (Grade D). A booster dose of pneumococcal vaccine is recommended after five years (Grade D); no re- vaccination recommendation is made for meningococcal or Haemophilus influenzae type B vaccine. Recommendations for prophylaxis of splenectomized children under the age of five years are also provided. Conclusion: There are limited data on the use of vaccines after injury. This document brings together a disparate literature of variable quality into a discussion of the infectious risks after injury relevant to vaccine administration, a summary of safety and adverse effects of vaccines, and evidence-based recommendations for vaccination

Association between MAPT polymorphism but not APOE promoter and elite rugby athlete status

INTRODUCTION: Incidence and outcomes of concussions have been hypothesised to be genetically influenced. The APOE Promoter G219T (rs405509) polymorphism has been associated with differential promoter activity and unfavourable outcomes after traumatic brain injury. The TT genotype is associated with a 3-fold greater risk of multiple concussions. The TT genotype of MAPT (rs10445337) has also been associated with poorer outcomes after concussion. Rugby has one of the highest incidences of concussion in sport, so it was hypothesised that APOE Promoter TT and MAPT TT genotypes would be less prevalent in elite rugby athletes because those genotypes, previously associated with increased risk, would be less compatible with achieving elite athlete status. METHODS: Participants were from the RugbyGene project, comprising elite Caucasian male rugby athletes (n = 528; mean (standard deviation) height 1.85 (0.07) m, mass 101 (14) kg, age 29 (7) yr), including 420 rugby union (RU) athletes that for some analyses were divided into forwards and backs and 108 rugby league (RL) athletes. Non-athletes were 592 Caucasian men and women (57% male, height 1.72 (0.10) m, mass 74 (14) kg, age 31 (7) yr). PCR of genomic DNA was used to determine genotypes using TaqMan probes, then groups were compared using χ2 and odds ratio (OR) statistics. RESULTS: All genotype data were in Hardy-Weinberg equilibrium. For MAPT (rs10445337), the risk genotype (TT) was underrepresented in rugby athletes (60%) compared to non-athletes (66%), CT more common in rugby athletes (34%) than non-athletes (29%) and little difference in CC genotype frequencies (χ2 = 7.092, P = 0.029; TT genotype frequency OR = 0.80, 95% confidence intervals (CI) = 0.62-1.02). There were no differences in MAPT (rs10445337) genotype frequencies between RU forwards and backs. For APOE Promoter G219T (rs405509), there were no differences in genotype frequencies between all athletes (RU and RL) and non-athletes (27% TT genotype in players and non-athletes), nor between RU forwards and backs. CONCLUSION: The MAPT (rs10445337) TT genotype is 6% less common in elite rugby athletes than non-athletes. Therefore, carrying at least one rs10445337 C allele appears to increase the probability of sustained career success in the high-risk concussion environment of elite rugby, perhaps via a greater ability to recover from concussions.Peer reviewe

TPACK as shared practice: toward a research agenda

The task of using Information and Communication Technologies (ICT) to effectively teach hundreds of pre-service educators, many of whom never attend campus, is a significant challenge, which is amplified by the need to do so in ways that model how they might use ICT in their own classrooms once they graduate. This paper analyses a collection of posts written across a teaching year on a group blog by three teacher educators as they explored their practice and attempted to learn how to meet this challenge. The analysis uses a distributed view of knowledge and learning to identify the barriers and enablers encountered, and how the teacher educators developed their distributed TPACK throughout the year. The paper argues that a distributed view of TPACK offers some interesting insights that can inform practitioners, researchers and policy makers as they explore practice and learn how to meet the technology integration challenge